Toilet Training Clinic

Developmental and Behavioral Pediatrics TOILET TRAINING CLINIC WHAT OUR FAMILIES ARE SAYING: UMass Memorial Health Care is the largest not-for-profit health care system in Central Massachusetts with more than 12,000 employees and 1,600 physicians, many of whom are members of UMass Memorial Medical Group. Our member hospitals and entities include UMass Memorial HealthAlliance-Clinton “It took three visits and our Hospital, UMass Memorial – Marlborough Hospital, UMass Offering advice and help for families Memorial Medical Center and UMass Memorial – Community daughter was fully trained. Healthlink, our behavioral health agency. With our teaching with toilet training challenges and research partner, the University of Massachusetts Medical Now we are back with her little School, our extensive primary care network and our cancer, diabetes, heart and vascular, orthopedic and surgery programs, brother.” UMass Memorial delivers safe, high-quality and compassionate care. Visit www.umassmemorialhealthcare.org.

“The clinic was not stressful for me or my son. We followed the UMass Memorial Children’s Medical Center is a “hospital step-by-step approach and things within a hospital” providing comprehensive services to children throughout the region. With more than 130 medical and surgical went smoothly.” specialists skilled in and dedicated to the care of children, the Children’s Medical Center offers a full range of care to infants, children and adolescents in a close-to-home environment that is sensitive and responsive to the needs of families. The Children’s Medical Center is a member of the Children’s Hospital Association, a nonprofit organization that promotes “The clinic helped me and my the health and well-being of children and their families child understand how this problem through support of children’s hospitals that are committed to excellence in providing health care to children. Visit www. started and how to fix it.” umassmemorial.org/children for more information. To find a pediatric subspecialist for your child, call 855-UMASS-MD (855-862-7763).

THE TOILET TRAINING CLINIC Developmental and Behavioral Pediatrics UMass Memorial Children’s Medical Center University Campus – Benedict Building 55 Lake Avenue North, Worcester, MA 01655 UMass Memorial Medical Group at Northborough Crossing 333 Southwest Cutoff, Northborough, MA 01532

11/17 MKTG The UMass Memorial Children’s Medical YOUR FIRST VISIT Center Toilet Training Clinic helps Visits to the clinic are a positive experience families successfully toilet train their for most children since there are no medical child. If your child is over the age of 2 evaluations and they are welcome to play years and is still in diapers or pull-ups throughout. You will be with your child at all times during all visits. during the day, or is having day-wetting/ soiling, our clinic may be able to help At your first visit, our clinician will review your you. Ask your physician for a referral or child’s intake form, ask further questions, engage your child in the process and outline first steps call 855-UMASS-MD (855-862-7763). toward successful toilet training. You may be asked to chart your child’s bowel and bladder WHAT IS THE TOILET TRAINING CLINIC? regularity, the frequency of bowel or bladder accidents, and list any medications your child has The Toilet Training Clinic team uses proven been prescribed previously. behavioral strategies to help your child become fully BEFORE YOUR FIRST VISIT toilet trained. The clinic serves children 2 through 7 It’s important to note that the clinic does not years of age who: Before considering a behavioral approach to toileting provide medical treatment of underlying physical problems, talk to your child’s doctor about possible conditions, but will provide recommendations • Are still in diapers around the clock, beyond the medical problems that may cause difficulty toilet to your child’s primary care provider if this typical age of 2 years training. If your child’s physician recommends our is needed. The clinic also works closely with • May be out of diapers during the day but are clinic, call 855-UMASS-MD to request an intake form, medical specialists who see children with having accidents that are causing issues at home which must be filled out and returned prior to making toileting issues. or daycare an appointment. It’s also a good idea to check with your • Are over age 5 and are trained during the day but health insurance company to make sure the visits will wet overnight be covered by your insurance plan and what the copay amounts will be. Our clinic also addresses associated toileting challenges, including: Our ultimate goal is for your • Constipation and soiling from holding stool SCHEDULING YOUR CHILD’S child to be successfully toilet APPOINTMENTS • Day wetting from holding urine trained during the day and at • Night wetting during sleep We typically schedule your child for four visits night, and no longer dependent two to three weeks apart, since our process is on diapers or pull-ups. • Previously unsuccessful attempts to medically a gradual, step-by-step approach. Additional treat these issues follow-up visits are discussed at your fourth TO SCHEDULE AN Consultations also are available for parents of younger visit, if necessary. If further medical specialty APPOINTMENT, CALL children who may be looking for advice or suggestions evaluation or treatment appears to be needed, the 855-UMASS-MD (855-862-7763). as they begin to toilet train their typically developing clinic also will assist you and your primary care toddler or preschool-aged child. provider in this process.